Kirkland, Theo Neal

Kirkland, Theo Neal is an individual health care provider with primary practice located at 5709 Waverly Ave , La Jolla CA 92037-7336. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Kirkland, Theo Neal can be contacted via phone (858) 752-7989.

Contact Information

Primary practice address
5709 Waverly Ave La Jolla CA 92037-7336
Phone: (858) 752-7989
Fax: (858) 459-7471
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G39331 California
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X G39331 California

Profile Details

NPI number 1528079795
LBN Legal business name Kirkland, Theo Neal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Mar 2nd, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528079795 NPPES
California MEDICAID 00G393310

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